Your Name Your Address City/State/Zip Home Phone Cell Phone Yes No Are you a minimum of 18 years old? Email Employer Occupation & Work Phone (Optional) Training, Certificate(s), License(s), Degree(s), Special Skills, Etc.
How did you learn about CIR?
Why have you chosen CIR over other volunteer opportunities in the community?
Other (please explain)
What do you hope to gain from your volunteer experience?
Which of the following volunteer opportunities interest you? Please rank in order 1-8 of preference with 1 being the highest.
Do you have an idea about volunteering that is not listed? If so, please describe. Tell us about your previous volunteer experience (Organization, position held, length of time, etc.). What did you like most and least about your previous volunteer experience? Tell us about your special interests, hobbies, and/or civic activities you enjoy, etc.
Do you speak or write any other languages other than English? What computer applications are you proficient in?
Please tell us what hours on which days you are available to volunteer.
Example: 8am-5pm, 5:30pm-8pm What is your availablity for volunteering, considering your work and personal schedule? Please state the frequency of how often you are willing to volunteer? Example: 1 x per week, 2 xs per week, 1 x per month, 2 xs per month
